{
  "claim_id": "e4eaaaf2-d142-11e1-b3e4-080027620cdd",
  "validation": [
    {
      "diagnosis": {
        "code": "A40.9",
        "present_on_admission": "Y"
      },
      "determination": {
        "result": "Unsupported",
        "confidence": 0.88,
        "reasoning": "Diagnosis not supported as the SOFA score threshold was not met when account for baseline creatinine",
        "evidence": [
          {
            "criteria": "Renal Dysfunction",
            "source": {
              "start_index": 1319,
              "end_index": 1362,
              "text": "CKD baseline 1.3 elevated to 2.1 creatinine"
            },
            "evaluation": "Rejects"
          }
        ]
      }
    }
  ]
}